艾灸后穴位贴敷协同提肛运动在老年脑卒中患者尿失禁中的应用  

Application of acupoint application after moxibustion and anal lifting exercise in urinary incontinence in elderly stroke patients

作　　者：彭庆婕 施阳阳 洪亮[1] 杨言府[1] PENG Qingjie;SHI Yangyang;HONG Liang;YANG Yanfu(The First Department of Neurology,Lu'an Hospital of Traditional Chinese Medicine,Lu'an,Anhui 237000,China)

机构地区：[1]六安市中医院神经内一科,安徽六安237000

出　　处：《中华全科医学》2024年第11期1942-1944,1985,共4页Chinese Journal of General Practice

基　　金：杨言府全国名老中医专家传承工作室项目(国中医药人教函[2022]75号);安徽省卫生健康科研项目(AHWJ2022c037)。

摘　　要：目的脑卒中后尿失禁严重影响患者日常生活,本研究探讨艾灸后穴位贴敷协同提肛运动在缓解老年脑卒中后尿失禁中的应用价值。方法选取2022年8月—2023年6月六安市中医院神经内一科收治的脑卒中后尿失禁患者共68例,采用随机数字表法分为对照组和观察组,每组各34例。对照组予常规护理加穴位贴敷,观察组予常规护理及艾灸后穴位贴敷协同提肛运动治疗。比较2组患者治疗前、治疗2周后的尿失禁问卷简表(ICI-Q-SF)评分、尿失禁程度及治疗总有效率、满意度。结果观察组治疗后ICI-Q-SF评分[5.00(4.00,9.25)分]较对照组[7.00(7.00,11.00)分]更低,组间差异有统计学意义(P<0.05),观察组评分差值[4.00(4.00,5.00)分]较对照组[2.00(1.00,3.00)分]更大,差异有统计学意义(P<0.05)。治疗后2组患者尿失禁程度差异有统计学意义(P<0.05)。观察组治疗总有效率[34例(100.00%)]高于对照组[30例(88.24%)],2组疗效总体比较差异有统计学意义(P<0.05)。观察组护理总满意度[34例(100.00%)]高于对照组[31例(91.18%)],2组满意度总体比较差异有统计学意义(P<0.05)。结论艾灸后穴位贴敷协同提肛运动可以有效缓解老年脑卒中患者尿失禁症状,提高患者临床疗效和满意度。Objective The occurrence of urinary incontinence following a stroke has a significant impact on the daily lives of patients.This paper considers the potential benefits of acupuncture point application following moxibustion and anal lifting exercise in the management of urinary incontinence following a stroke in elderly patients.Methods A total of 68 patients with post-stroke urinary incontinence admitted to the First Department of Neurology in Lu'an Hospital of Traditional Chinese Medicine from August 2022 to June 2023 were selected,and divided into a control group and an observation group according to the random number table method.The control group was treated with routine nursing and acupoint application,while the observation group was treated with routine nursing and acupoint application,followed by moxibustion and anal lifting exercises.The ICIQ-SF scores,urinary incontinence levels,overall efficacy rates,and treatment satisfaction of the two groups were compared before treatment and two weeks after treatment.Results Following treatment,the ICI-Q-SF score for the observation group[5.00(4.00,9.25)points]was found to be lower than that for the control group[7.00(7.00,11.00)points],with a statistically significant difference between the two groups(P<0.05).The score of the observation group decreased by[4.00(4.00,5.00)points],which was a lower reduction than that of the control group by[2.00(1.00,3.00)points].The difference between the two groups was statistically significant(P<0.05).A significant difference was observed in urinary incontinence between the two groups following treatment(P<0.05).The total effective rate of treatment in the observation group(34 cases,100.00%)was higher than that in the control group(30 cases,88.24%),and the distribution of treatment efficacy grades was statistically significant(P<0.05).The total satisfaction with nursing care in the observation group[34 cases(100.00%)]was higher than in the control group[31 cases(91.18%)],and the distribution of satisfaction grades was statistical

关 键 词：老年脑卒中 尿失禁 艾灸 穴位贴敷 提肛运动 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R245.81[医药卫生—临床医学]